| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,720 |
5,094 |
$189K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,744 |
5,839 |
$171K |
| 99091 |
|
340 |
323 |
$48K |
| 71046 |
Radiologic examination, chest; 2 views |
847 |
807 |
$15K |
| 94060 |
|
416 |
353 |
$13K |
| 80305 |
|
1,258 |
1,186 |
$10K |
| 99490 |
Ccm add 20min |
3,373 |
3,300 |
$7K |
| 90756 |
|
535 |
513 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
483 |
420 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
269 |
259 |
$5K |
| 94729 |
|
119 |
103 |
$4K |
| 93000 |
|
533 |
514 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
368 |
354 |
$3K |
| 81002 |
|
1,188 |
1,102 |
$2K |
| 80053 |
Comprehensive metabolic panel |
380 |
326 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
32 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
177 |
142 |
$1K |
| 99457 |
|
1,009 |
1,006 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
376 |
327 |
$961.40 |
| 99454 |
|
425 |
423 |
$862.52 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$817.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
166 |
138 |
$781.72 |
| 80061 |
Lipid panel |
365 |
312 |
$678.22 |
| 96132 |
|
23 |
16 |
$612.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
49 |
$597.70 |
| 99497 |
|
444 |
413 |
$337.56 |
| 83625 |
|
95 |
93 |
$235.88 |
| 82043 |
|
50 |
43 |
$126.36 |
| 83735 |
|
95 |
93 |
$123.54 |
| 99458 |
|
339 |
207 |
$122.78 |
| 83615 |
|
95 |
93 |
$111.32 |
| 82570 |
|
50 |
43 |
$95.70 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
16 |
$48.40 |
| 3044F |
|
43 |
41 |
$40.00 |
| 92558 |
|
31 |
30 |
$39.30 |
| 84100 |
|
95 |
93 |
$35.35 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
481 |
445 |
$0.05 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
150 |
139 |
$0.02 |
| G0008 |
Administration of influenza virus vaccine |
59 |
59 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
443 |
414 |
$0.00 |
| 1125F |
|
1,337 |
1,159 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
179 |
160 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
392 |
347 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,574 |
2,304 |
$0.00 |
| 1036F |
|
507 |
462 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
246 |
229 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
570 |
518 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
67 |
66 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,613 |
2,248 |
$0.00 |
| 1126F |
|
353 |
325 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
759 |
667 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
659 |
604 |
$0.00 |
| 3079F |
|
239 |
222 |
$0.00 |
| 4010F |
|
401 |
360 |
$0.00 |
| 3080F |
|
160 |
143 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
686 |
632 |
$0.00 |
| 92548 |
|
19 |
17 |
$0.00 |
| 1123F |
|
28 |
28 |
$0.00 |
| 3074F |
|
317 |
299 |
$0.00 |
| G0513 |
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service) |
148 |
133 |
$0.00 |
| 82962 |
|
16 |
15 |
$0.00 |
| 1170F |
|
394 |
356 |
$0.00 |
| 3075F |
|
67 |
61 |
$0.00 |
| 3008F |
|
33 |
32 |
$0.00 |
| 3066F |
|
13 |
12 |
$0.00 |
| 1101F |
|
159 |
154 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
32 |
28 |
$0.00 |
| 99406 |
|
13 |
12 |
$0.00 |
| 3017F |
|
81 |
71 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,038 |
1,858 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
3,010 |
2,658 |
$0.00 |
| G9782 |
History of or active diagnosis of familial hypercholesterolemia |
423 |
386 |
$0.00 |
| 3078F |
|
307 |
287 |
$0.00 |
| 1160F |
|
1,990 |
1,706 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
933 |
821 |
$0.00 |
| 1124F |
|
76 |
76 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,978 |
2,533 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
801 |
682 |
$0.00 |
| 1159F |
|
1,984 |
1,700 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
148 |
135 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
182 |
170 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,670 |
5,567 |
$0.00 |
| 4004F |
|
67 |
60 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
792 |
713 |
$0.00 |
| 1090F |
|
374 |
330 |
$0.00 |
| 3077F |
|
320 |
285 |
$0.00 |
| 3288F |
|
182 |
174 |
$0.00 |
| 3725F |
|
452 |
422 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
558 |
510 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
16 |
15 |
$0.00 |
| 94375 |
|
119 |
103 |
$0.00 |
| 96138 |
|
23 |
16 |
$0.00 |
| 4040F |
|
41 |
40 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
13 |
13 |
$0.00 |
| 99453 |
|
21 |
21 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
14 |
14 |
$0.00 |
| 3023F |
|
16 |
12 |
$0.00 |